[The diagnosis and treatment of cerebrospinal rhinorrhea caused by transsphenoidal cephalocele through transnasal endoscopic surgery].

Haili Lü, Qiuhang Zhang, Bo Yan, Zhili Ni, Haisheng Liu
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引用次数: 0

Abstract

Objective: To inquire into the feasibility of transnasal endoscopic surgery for the diagnosis and treatment of cerebrospinal rhinorrhea caused by transsphenoidal meningo encephalocele.

Method: Three cases of cerebrospinal rhinorrhea caused by transsphenoidal meningo encephaloceles were managed by transnasal endoscopic surgery. Different repair materials such as muscle, fascia, artificial dural material were applied into the defect site.

Result: All cases were successful treated, 1 of them complicated with meningitis, the others were cured without any complication. One reoccurred after 6 months and was successful repaired after second surgery during 1-3 year follow-up.

Conclusion: The treatment of transnasal endoscopic surgery for cerebrospinal rhinorrhea caused by transsphenoidal cephalocele is a feasible, mini-wound and safe approach.

【经鼻内镜手术治疗经蝶窦性头膨出所致脑脊液鼻漏的诊断与治疗】。
目的:探讨经鼻内镜手术诊断和治疗经蝶膜脑膨出所致脑脊液鼻漏的可行性。方法:对3例经蝶膜脑膨出引起的脑脊液鼻漏进行经鼻内镜手术治疗。不同的修复材料如肌肉、筋膜、人工硬脑膜材料应用于缺损部位。结果:所有病例均治疗成功,其中1例合并脑膜炎,其余均治愈,无并发症。1例6个月后复发,1-3年随访第二次手术成功修复。结论:经鼻内镜手术治疗经蝶窦性脑脊液鼻漏是一种可行、微创、安全的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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